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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 9113
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¡ AddiUo_n~ Replat
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I_L_OLNO, n -.I Block I
Ward
Dale
OUTSIDE WORK
NEW SEWEI WAtER STORMS FEES FEES RELAY S. SEWER WAtER STORMS FEES
From MelD 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NEW
FEES
REP. I USED
NO.
UP. I USED
FlES
NO.
FEES
NEW
REP.
USED
Baib Tub
1
:J
d.
rf
Bar and Soda Waslas
Garbage DIspooaIs
Catch Basins
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--
Dishwashers
Conduclo"
Wash Basin
1
Laundramals
Gre... Calch Basins
Weier CIONI
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Waler Softene..
Sump Pump" Ejeclors
/
Sink
Shower Baths
Sanitary Bubblers
Urinals
Water Heale..
noor Drain8
/
Denial Cuspidors
Laundry Tubs
Inopadiono
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Serrice Sinko
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Received Permit and lnopecllon Fees
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Date ~/¿b /7?'
Fee Verified. Receipled and Recorded
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agtaa to by6oúndan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the BOOTd of Public WoTks for the government of Plumbers.
It Is futher agreed by the undersigned that no otheT uses will ba modo of the above connections u
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